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Evidence-Based Ventilator Weaning and …
Evidence-Based Ventilator Weaning and DiscontinuationNeil R MacIntyre MD FAARCI ntroductionAssessing Ventilator - discontinuation PotentialExtubationManaging the Patient Who Fails SBTP rotocols Implemented by Nonphysician CliniciansThe Role of Long-Term FacilitiesSummaryVentilator management of a patient who is recovering from acute respiratory failure must balancecompeting objectives. Discontinuing mechanical ventilation and removing the artificial airway as soonas possible reduces the risk of Ventilator -induced lung injury, nosocomial pneumonia, airway traumafrom the endotracheal tube, and unnecessary sedation, but premature Ventilator - discontinuation orextubation can cause ventilatory muscle fatigue, gas exchange failure, and loss of airway protection. In1999 the McMaster University Outcomes Research Unit conducted a comprehensive evidence -basedreview of the literature on Ventilator - discontinuation .
Evidence-Based Ventilator Weaning and Discontinuation Neil R MacIntyre MD FAARC Introduction Assessing Ventilator-Discontinuation Potential Extubation
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